~h INTHE 4Q6

@ MT TOBACCO

QUIT LINE

MONTANA

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Smokeless Tobacco Not a Safe Alternative

Montana’s smokeless tobacco use is one of the highest in the nation.

• 12% of Montana male adults use smokeless tobacco, which is almost twice as high as the national average.2

• 9.7% of Montana high school males are smokeless tobacco users.3

• 8.3% of male American Indian high school students in Montana use smokeless tobacco.3

No form of smokeless tobacco is a safe substitute for cigarettes. Still, tobacco

companies often market these products as alternatives to smoking in places where

smoking isn’t allowed.1

Smokeless Tobacco Harms Health

• Can lead to and sustain addiction to nicotine.4

• Causes cancer of the mouth, tongue, cheek, gum, esophagus and pancreas.1,4,5

• Can cause white or gray patches in the mouth (leukoplakia) that can lead to cancer.4,5

• Can cause gum disease, tooth decay, and tooth loss.4,5

• May increase the risk for death from heart disease and stroke.4,5,6

Marketing and Promotion of Smokeless Tobacco Targets New Users and Youth

• Big Tobacco markets traditional chewing tobacco in kid-friendly flavors such as vanilla, apple and citrus.

• In 2017, more than $718.3 million was spent on advertising and promotion of smokeless tobacco.7

• Montana’s tax on this item is not comparable to that of cigarettes and is low and ineffective as a deterrent.8 As a result, smokeless tobacco acts as an entry-level tobacco product that initiates addiction to nicotine of all kinds.

CONTACT Montana Tobacco Use

Prevention Program Phone: (866) 787-5247

E-mail: infotobaccofree@mt.gov Website: tobaccofree.mt.gov

Updated 2/14/2020

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MONTANA T•OBACCO

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SMOKELESS TOBACCO

MONTANA

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Smokeless Tobacco Not a Safe Alternative

Smokeless Tobacco Cessation Efforts in Montana

Montana Tobacco Quit Line:

• Offers specialized cessation support for smokeless tobacco users.

• Offers free nicotine replacement therapy and reduced cost prescription medication

• Smokeless tobacco users who use the Quit Line have a 50% quit rate.

Media and Outreach Efforts:

• The Montana Tobacco Use Prevention Program develops specific media to counter the high-use rate of smokeless tobacco in Montana. Media campaigns air throughout the state and over a variety of broadcast stations and media publications.

• MTUPP coordinates with the Montana High School Rodeo Association Tobacco Free Rodeos to promote tobacco-free lifestyles and eliminate the expectation of smokeless tobacco

Resources

• MTUPP website: tobaccofree.mt.gov • CDC: cdc.gov/tobacco • Quit Line website: montana.quitlogix.org

Sources 1. Health Risks of Smokeless Tobacco-

American Cancer Society http://www.cancer.org/cancer/cancercau ses/tobaccocancer/smokeless-tobacco (accessed 7/19)

2. Montana Behavioral Risk Factor Surveillance System, 2018

3. Montana Youth Risk Behavior Survey, 2019.

4. Smokeless Tobacco and Some Tobacco-specific N-Nitrosamines-World Health Organization http://monographs.iarc.fr/ENG/Monograp hs/vol89/mono89.pdf (accessed 7/19)

5. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General-U.S. Department of Health and Human Services. https://www.cdc.gov/tobacco/data_statist ics/sgr/50th-anniversary/index.htm (accessed 9/19)

6. Boffetta, P. & K. Straif. Use of smokeless tobacco and risk of myocardial infarction and stroke: systematic review with meta-analysis. BMJ 2009;339:b3060

7. The Toll of Tobacco in Montana-Campaign for Tobacco-Free Kids https://www.tobaccofreekids.org/assets/f actsheets/0003.pdf (accessed 8/2019)

8. State Excise Tax Rates for Non-Cigarette Tobacco Products-Campaign for Tobacco Free Kids http://www.tobaccofreekids.org/research/ factsheets/pdf/0169.pdf (accessed 7/19)

9. Tobacco Free Rodeo https://mtreact.com/rodeo/ (accessed 7/19)